Individual
MRS. KELLY MARIE SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1325 LOCUST AVE, FAIRMONT, WV 26554-1435
(304) 367-7100
Mailing address
157 INDEPENDENCE HILLS VLG, MORGANTOWN, WV 26505-2546
(304) 619-1424
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
972
WV
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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